Organization · NPI-2

A Strong Foundation

In Home Supportive Care · Milwaukee, WI

NPI number1457667388
StatusActive
Last updated in NPPESAug 30, 2010

Details

NPI
1457667388
Entity type
Organization (NPI-2)
Legal business name
A Strong Foundation
Organization subpart
No
Enumeration date
Aug 30, 2010
Last updated
Aug 30, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
101YM0800X Counselor, Mental Health––
251S00000X Community/Behavioral Health––

Practice location

3761 N 21st St
Milwaukee, WI 53206-1834

Phone 414-202-8583

Mailing address

3761 N 21st St
Milwaukee, WI 53206-1834

Phone 414-202-8583

Authorized official

Neaokia Collins
Owner
4142028583

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